Healthcare Provider Details

I. General information

NPI: 1154054484
Provider Name (Legal Business Name): ALLYSON J KUYE DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2022
Last Update Date: 06/28/2024
Certification Date: 06/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 BLOOMINGTON AVE
MINNEAPOLIS MN
55404-3074
US

IV. Provider business mailing address

1370 MENDOTA HEIGHTS RD
MENDOTA HEIGHTS MN
55120-1281
US

V. Phone/Fax

Practice location:
  • Phone: 612-301-3433
  • Fax:
Mailing address:
  • Phone: 651-313-8080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number202223029
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number9544
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: